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Early onset sepsis calculator implementation is associated with reduced healthcare utilization and financial costs in late preterm and term newborns
The neonatal early onset sepsis (EOS) calculator is a novel tool for antibiotic stewardship in newborns, associated with a reduction of empiric antibiotic treatment for suspected EOS. We studied if implementation of the EOS calculator results in less healthcare utilization and lower financial costs...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160215/ https://www.ncbi.nlm.nih.gov/pubmed/31897840 http://dx.doi.org/10.1007/s00431-019-03510-9 |
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author | Achten, Niek B. Visser, Douwe H. Tromp, Ellen Groot, Wim van Goudoever, Johannes B. Plötz, Frans B. |
author_facet | Achten, Niek B. Visser, Douwe H. Tromp, Ellen Groot, Wim van Goudoever, Johannes B. Plötz, Frans B. |
author_sort | Achten, Niek B. |
collection | PubMed |
description | The neonatal early onset sepsis (EOS) calculator is a novel tool for antibiotic stewardship in newborns, associated with a reduction of empiric antibiotic treatment for suspected EOS. We studied if implementation of the EOS calculator results in less healthcare utilization and lower financial costs of suspected EOS. For this, we compared two single-year cohorts of hospitalizations within 3 days after birth in a Dutch nonacademic teaching hospital, before and after implementation of the EOS calculator. All admitted newborns born at or after 35 weeks of gestation were eligible for inclusion. We analyzed data from 881 newborns pre-implementation and 827 newborns post-implementation. We found significant reductions in EOS-related laboratory tests performed and antibiotic days, associated with implementation of the EOS calculator. Mean length of hospital stay was shorter, and EOS-related financial costs were lower after implementation among term, but not among preterm newborns. Conclusion: In addition to the well-known positive impact on antibiotic stewardship, implementation of the EOS calculator is also clearly associated with reductions in healthcare utilization related to suspected EOS in late preterm and term newborns and with a reduction in associated financial costs among those born term. |
format | Online Article Text |
id | pubmed-7160215 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-71602152020-04-23 Early onset sepsis calculator implementation is associated with reduced healthcare utilization and financial costs in late preterm and term newborns Achten, Niek B. Visser, Douwe H. Tromp, Ellen Groot, Wim van Goudoever, Johannes B. Plötz, Frans B. Eur J Pediatr Original Article The neonatal early onset sepsis (EOS) calculator is a novel tool for antibiotic stewardship in newborns, associated with a reduction of empiric antibiotic treatment for suspected EOS. We studied if implementation of the EOS calculator results in less healthcare utilization and lower financial costs of suspected EOS. For this, we compared two single-year cohorts of hospitalizations within 3 days after birth in a Dutch nonacademic teaching hospital, before and after implementation of the EOS calculator. All admitted newborns born at or after 35 weeks of gestation were eligible for inclusion. We analyzed data from 881 newborns pre-implementation and 827 newborns post-implementation. We found significant reductions in EOS-related laboratory tests performed and antibiotic days, associated with implementation of the EOS calculator. Mean length of hospital stay was shorter, and EOS-related financial costs were lower after implementation among term, but not among preterm newborns. Conclusion: In addition to the well-known positive impact on antibiotic stewardship, implementation of the EOS calculator is also clearly associated with reductions in healthcare utilization related to suspected EOS in late preterm and term newborns and with a reduction in associated financial costs among those born term. Springer Berlin Heidelberg 2020-01-02 2020 /pmc/articles/PMC7160215/ /pubmed/31897840 http://dx.doi.org/10.1007/s00431-019-03510-9 Text en © The Author(s) 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article Achten, Niek B. Visser, Douwe H. Tromp, Ellen Groot, Wim van Goudoever, Johannes B. Plötz, Frans B. Early onset sepsis calculator implementation is associated with reduced healthcare utilization and financial costs in late preterm and term newborns |
title | Early onset sepsis calculator implementation is associated with reduced healthcare utilization and financial costs in late preterm and term newborns |
title_full | Early onset sepsis calculator implementation is associated with reduced healthcare utilization and financial costs in late preterm and term newborns |
title_fullStr | Early onset sepsis calculator implementation is associated with reduced healthcare utilization and financial costs in late preterm and term newborns |
title_full_unstemmed | Early onset sepsis calculator implementation is associated with reduced healthcare utilization and financial costs in late preterm and term newborns |
title_short | Early onset sepsis calculator implementation is associated with reduced healthcare utilization and financial costs in late preterm and term newborns |
title_sort | early onset sepsis calculator implementation is associated with reduced healthcare utilization and financial costs in late preterm and term newborns |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160215/ https://www.ncbi.nlm.nih.gov/pubmed/31897840 http://dx.doi.org/10.1007/s00431-019-03510-9 |
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